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Lifeline Program Application (FCC FORM 5629) Instructions. Page 1: About the Lifeline Program. Lifeline is a federal government program of the Federal Communications Commission (FCC) that provides a monthly phone or internet service discount for qualifying low-income consumers. Rules.
1. If you qualify through a government program: copies of your state ID card and an oficial document from the programs you are qualifying though (your SNAP card, Medicaid card, etc.) 2. If you qualify through your income: copies of your state ID card and pay stubs for 3 consecutive months (or other accepted documents).
Forms. Service providers must file all FCC forms electronically. Paper forms are for reference only. Consumers and subscribers may complete online or paper forms. Service Providers: Disbursements. Service Providers: Annual Filings. Consumers.
Here is a helpful checklist for submitting your Form 5629: Lifeline Program Application (Pages 1-8) Complete the Lifeline Program Application Form. Complete your information under section 2. Provide a copy of the award letter from the program you marked under Section 3.
FCC Form 5629 is the application form for the FCC's Lifeline Program, which offers monthly phone or internet service discounts for qualifying low-income consumers. The form outlines rules, the definition of a household, application steps, and additional documentation requirements.
FCC Form 5629 – The Lifeline Program Application Form. FCC Form 5629 will be used in all states and territories to obtain the information necessary to evaluate whether a consumer is eligible to receive Lifeline service and to obtain the consumer’s certifications, as required by 47 CFR § 54.410.
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